2019 SHBP Aetna Medicare Advantage Information

Effective January 1, 2019, the SHBP will no longer offer Medicare Advantage (MA) plans through Horizon’s NJ DIRECT10 (PPO) or NJ DIRECT15 (PPO) plans. Retirees previously enrolled in these plans will be automatically transferred to a corresponding Aetna Medicare Advantage PPO ESA plan. No application is necessary and no other action is required by retirees. Affected members will receive correspondence directly from the plans.

Spouse or Partner with Different Medicare Eligibility than the Member

Retirees enrolled in one of the NJ DIRECT MA plans who have a spouse or partner who is not Medicare-eligible will move to the Aetna MA plan while the spouse/partner and/or any covered children remain in the NJ DIRECT10 or 15 plan.

Similarly, retirees who are not eligible for Medicare but have a spouse or partner who is Medicare-eligible will remain in their NJ DIRECT10 or 15 plan (along with any covered children) while the spouse/partner is transferred to the Aetna MA plan.

These rules will also be in effect for members, spouses, or partners whose Medicare effective date is 1/1/19 or after. Non-Medicare-eligible retirees enrolled in NJ DIRECT 10 or 15 will be transferred automatically to an Aetna MA plan once enrolled in Medicare Parts A and B.